LTSS Service Care Manager

LTSS Service Care Manager – RN / LCSW Location: Remote – North Carolina Primary Service Area: Pitt County, NC and surrounding region Schedule: Monday–Friday, 8:00 AM–5:00 PM EST Pay Rate:$40.00 per hour Contract: 6 months, with potential to extend or convert Travel: Approximately 80% for face-to-face member visits Openings: 2 Position Summary We are seeking an experienced LTSS Service Care Manager to support members with Long-Term Support Services (LTSS) needs throughout North Carolina. This is a remote, field-based case management position. Administrative responsibilities are completed remotely, while the majority of the role involves traveling throughout the assigned service area to conduct face-to-face member visits. The Service Care Manager will manage an assigned caseload, conduct comprehensive assessments, develop and monitor individualized care plans, coordinate healthcare and long-term services, and collaborate with members, caregivers, physicians, providers, discharge planners, and other members of the healthcare team. Key Responsibilities Manage a caseload of members with Long-Term Support Services (LTSS) needs. Conduct comprehensive assessments with members, caregivers, and providers to evaluate medical status, functional needs, support systems, and required services. Develop and assist with individualized service and care plans. Conduct required monthly and quarterly member contacts. Complete face-to-face member visits in homes and community settings. Monitor delivery of authorized services and follow up to ensure continuity of care. Identify gaps in services and coordinate appropriate solutions. Follow up with members, caregivers, and providers through in-person and telephonic contact. Authorize and coordinate referrals and services based on member needs. Coordinate healthcare services with physicians, providers, discharge planners, and other healthcare professionals. Assist with discharge planning and transitions between acute care and long-term services. Coordinate informal, voluntary, and community-based services as appropriate. Support members and caregivers in understanding available healthcare services and benefits. Assist members with complaints and appeals. Maintain accurate assessments, care plans, case notes, and other required documentation. Utilize electronic medical records and case management systems. Participate in virtual team meetings, training, and care coordination activities. Required Qualifications Bachelor's degree required. Current, active RN or LCSW/LCSW-A license required. 2–4+ years of physical healthcare case management experience. Experience in one or more of the following areas: Hospital Case Management Physical Health Case Management Utilization Management Home Health Discharge Planning Care Management Experience conducting patient/member assessments. Experience developing and managing care plans. Experience coordinating healthcare services and providers. Valid driver's license required. Ability and willingness to travel extensively for face-to-face member visits. Strong Microsoft Office skills. Experience working with electronic medical records. Strong written and verbal communication skills. Ability to work independently while effectively managing a caseload. Preferred Qualifications 4–6+ years of physical healthcare case management experience. LTSS or Long-Term Care experience. Home health experience. Community health or member-facing experience. Hospital discharge planning experience. Utilization management experience. Experience working with medically complex populations. Experience coordinating services across acute and long-term care settings. Knowledge of healthcare resources and community-based services. Travel Requirements This position requires approximately 80% travel for face-to-face member visits. The role typically consists of: 1–2 remote administrative days per week 3–4 days per week conducting field visits Approximately 1–4 member visits per day, depending on location and travel distance The service area may require travel up to approximately 2.5 hours one way from your home residence. Mileage and lodging, when needed, are reimbursed. A valid driver's license is required. Training Training is approximately 3.5 weeks and will be conducted virtually Monday–Friday, 8:00 AM–5:00 PM EST. Training requires: Camera on Full participation during scheduled training hours Availability for the entire training period Candidates should be prepared to commit to the full training schedule. Work Schedule Monday–Friday 8:00 AM–5:00 PM EST The position combines remote administrative work with extensive field-based member visits. Ideal Candidate The ideal candidate is an experienced RN or LCSW/LCSW-A case manager with a strong background in physical healthcare, care coordination, patient assessments, and care planning. Candidates with experience in hospital case management, utilization management, home health, discharge planning, LTSS, or community-based care coordination are encouraged to apply. The successful candidate will be comfortable managing a caseload independently, conducting clinical and functional assessments, coordinating services, communicating with healthcare providers, documenting in electronic medical records, and traveling throughout the assigned service area.